Evidence map›Paper›PMID 8935797›Full record

ReviewPsychopharmacology1996

Mechanisms of action of atypical antipsychotic drugs: a critical analysis.

B J Kinon, J A Lieberman

Abstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in Psychopharmacology, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Chlorpromazine versus atypical antipsychotic drugs for schizophrenia.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Clozapine Intoxication Mimicking Acute Stroke.Clinical practice and cases in emergency medicine · 2018
    Article
  13. Article
  14. Observational
  15. Review
  16. Aripiprazole-associated tic in a schizophrenia patient.Neuropsychiatric disease and treatment · 2015
    Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

B J KinonDepartment of Psychiatry, Albert Einstein College of Medicine, Glen Oaks, NY 11004, USA.
J A Lieberman

Funding

STUDY OF SCHIZOPHRENIAP30MH041960 · NIMH · LONG ISLAND JEWISH MEDICAL CENTER · PI BORENSTEIN, MICHAEL T. · 1997 to 1999
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PRECLINICAL NEUROBIOLOGY UNITP50MH041960 · NIMH · LONG ISLAND JEWISH MEDICAL CENTER · PI BORENSTEIN, MICHAEL · 1986 to 1996
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NIMH NIH HHS USPHS MH-41960
6 · The paper itself

Abstract

Various criteria used to define atypical antipsychotic drugs include: 1) decrease, or absence, of the capacity to cause acute extrapyramidal motor side effects (acute EPSE) and tardive dyskinesia (TD); 2) increased therapeutic efficacy reflected by improvement in positive, negative, or cognitive symptoms; 3) and a decrease, or absence, of the capacity to increase prolactin levels. The pharmacologic basis of atypical antipsychotic drug activity has been the target of intensive study since the significance of clozapine was first appreciated. Three notions have been utilized conceptually to explain the distinction between atypical versus typical antipsychotic drugs: 1) dose-response separation between particular pharmacologic functions; 2) anatomic specificity of particular pharmacologic activities; 3) neurotransmitter receptor interactions and pharmacodynamics. These conceptual bases are not mutually exclusive, and the demonstration of limbic versus extrapyramidal motor functional selectivity is apparent within each arbitrary theoretical base. This review discusses salient distinctions predominantly between prototypic atypical and typical antipsychotic drugs such as clozapine and haloperidol, respectively. In addition, areas of common function between atypical and typical antipsychotic drug action may also be crucial to our identification of pathophysiological foci of the different dimensions of schizophrenia, including positive symptoms, negative symptoms, and neurocognitive deficits.

Indexed as

AnimalsAntipsychotic AgentsBasal Ganglia DiseasesBehavior, AnimalBiogenic AminesBrainClozapineDopamineDose-Response Relationship, DrugHaloperidolHumansReceptors, DopamineSchizophreniaAntipsychotic AgentsBiogenic AminesClozapineDopamineHaloperidolReceptors, Dopamine

Identifiers

PMID8935797

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.